Which is a risk factor for asthma exacerbations?

• A. Poor Compliance (meds, environment, triggers, exacerbating conditions)
• B. Regular exercise
• C. Adequate vaccination
• D. Strict allergen avoidance

Answer: (A)

Exacerbations come from poor control of airway inflammation and triggers, which happens most when the asthma management plan isn’t followed. When controller medications (like inhaled corticosteroids) aren’t taken regularly, inflammation remains unchecked and the airways are more reactive. Even minor triggers—such as viral infections, allergen exposure, or irritants like tobacco smoke—can then spark a flare. Failing to manage environmental controls or to adjust the plan based on symptoms further increases the risk. In contrast, regular exercise is generally beneficial, vaccination helps prevent infections that can provoke attacks, and strict allergen avoidance, while helpful, is not by itself the single strongest risk factor. The key idea is that not sticking to the treatment and trigger-management plan raises the likelihood of an asthma exacerbation.